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Molecular Epidemiology and Mechanism of Sulbactam Resistance in Acinetobacter baumannii Isolates with Diverse Genetic Backgrounds in China

Overview of attention for article published in Antimicrobial Agents and Chemotherapy, February 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)

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Title
Molecular Epidemiology and Mechanism of Sulbactam Resistance in Acinetobacter baumannii Isolates with Diverse Genetic Backgrounds in China
Published in
Antimicrobial Agents and Chemotherapy, February 2018
DOI 10.1128/aac.01947-17
Pubmed ID
Authors

Yunxing Yang, Ying Fu, Peng Lan, Qingye Xu, Yan Jiang, Yan Chen, Zhi Ruan, Shujuan Ji, Xiaoting Hua, Yunsong Yu

Abstract

Sulbactam is a plausible option for treating Acinetobacter infection because of its intrinsic antibacterial activity against the Acinetobacter genus, but the mechanisms of sulbactam resistance have not been studied fully in Acinetobacter baumannii In this study, a total of 2197 clinical A. baumannii isolates were collected from 27 provinces in China. Eighty-eight isolates with various minimal inhibitory concentrations (MICs) for sulbactam were selected based on their diverse clonality and underwent multilocus sequence typing, antimicrobial-susceptibility testing and resistance gene screening. The copy number and relative expression of blaTEM-1D and ampC were measured via qPCR and qRT-PCR, respectively. The genetic structure of multicopy blaTEM-1D was determined using whole-genome sequencing technology. The cefoperazone/sulbactam resistance rate of the 2197 isolates was 39.7%. The positive rate of blaTEM-1D or ISAba1-ampC in the sulbactam-nonsusceptible group was significantly higher than that in the sulbactam-susceptible group (64.91% vs. 0%, P<0.001; 78.95% vs. 0%, P<0.001, respectively). The MIC of sulbactam (P<0.001) varied considerably between the ampC groups with or without upstream ISAba1 Notably, the genetic structure of the multicopy blaTEM-1D gene in strain ZS3 revealed that blaTEM-1D was embedded within four tandem copies of the cassette (IS26-blaTEM-1D-Tn3-IS26). Therefore, blaTEM-1D and ISAba1-ampC represent the prevalent mechanism underlying sulbactam resistance in clinical A. baumannii isolates in China. The structure of four tandem copies of blaTEM-1D firstly identified may increase sulbactam resistance.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 41 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 15%
Student > Bachelor 4 10%
Student > Master 4 10%
Student > Doctoral Student 3 7%
Other 1 2%
Other 3 7%
Unknown 20 49%
Readers by discipline Count As %
Medicine and Dentistry 7 17%
Biochemistry, Genetics and Molecular Biology 5 12%
Immunology and Microbiology 4 10%
Chemistry 2 5%
Veterinary Science and Veterinary Medicine 1 2%
Other 3 7%
Unknown 19 46%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 February 2018.
All research outputs
#3,711,927
of 25,382,440 outputs
Outputs from Antimicrobial Agents and Chemotherapy
#3,036
of 15,580 outputs
Outputs of similar age
#72,351
of 343,867 outputs
Outputs of similar age from Antimicrobial Agents and Chemotherapy
#137
of 223 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 15,580 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has done well, scoring higher than 78% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 343,867 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 223 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.